Sr. Software Engineer (Python, Agentic Development)

About the job

Y our impact
At Free Market Health, our mission is to never let the process fail the patient. We build the platform that connects payers and specialty pharmacies and routes specialty medication referrals, so patients get the therapy they need. We're looking for a senior engineer who wants to go deep on a part of our platform, become the go-to expert for it, and help shape how our team builds software with AI agents.
You'll own a business domain end to end: its services, data, integrations, and the decisions about where it goes next. You'll write a lot of code, work closely with the people who use what you build, and help other engineers be successful in your area.

• What You’ll Do
• Design, build, and operate backend services, APIs, and integrations in Python, with frontend work in React when it's needed.
• Become the subject matter expert for a business domain, including referral workflows, pharmacy integrations, and the data that moves between them.
• Partner with Product and operations teams to understand problems and shape solutions.
• Review designs and code across teams that touch your domain.
• Build and improve the agents, skills, rules, and context that help engineers work in your domain with AI coding tools.
• Bring agentic development practices to the team: spec-driven work, delegating implementation to agents, and validating what they produce.
• Improve reliability and data quality in the systems you own.

• What We’re Looking For
• 7+ years of professional software engineering experience, with deep backend experience in Python or a similar language.
• A track record of owning complex production systems and becoming the expert others rely on.
• Experience with system integrations, data pipelines, REST APIs, event-driven architecture, and relational databases such as SQL Server.
• Hands-on experience with agentic coding tools such as Claude Code or Cursor, including writing agent instructions, skills, or MCP integrations.
• Curiosity about the business, and a habit of asking why before building.
• Clear writing, and the instinct to encode what you know into tools other engineers can use.

• Nice to Haves
• Healthcare technology experience, especially specialty pharmacy, PBM, payer, claims, or EDI integrations.
• Experience with Microsoft Azure, Azure Service Bus, Databricks, or Datadog.
• Experience with LLM application development or AI workflow automation.
• Familiarity with HIPAA, HITRUST, or SOC 2.

• Life at FMH
• We’re building more than a company. We’re building a team of ambitious, curious people who are passionate about solving meaningful problems, growing their careers, and genuinely enjoying the journey together.
• Based in Pittsburgh’s Strip District, FMH draws inspiration from the city we call home. Our value of Grit isn’t just a word on a wall. It’s a mindset inspired by the city around us: showing up, rolling up our sleeves, and finding a way forward no matter the challenge.
• As FMH continues to grow, so do the opportunities for our people to leave their mark. Guided by our core values of Integrity, Adaptability, Grit, and Collaboration , we foster an environment where trust is earned, new ideas are welcomed, challenges are embraced, and success is shared. You will be surrounded by people who care deeply about the work they do and the people they do it with.
• Together, we’re building something special, and we’re just getting started.
• Benefits
• Unlimited PTO
• 100% employer-paid individual medical, dental, and vision premiums
• Employer HSA contribution
• Paid parental leave
• 401(k) match
• Transportation and parking benefits
• Flexible, collaborative work environment
• Benefit eligibility is based on employment status.
• Build What’s Next With Us
• Healthcare is evolving - and so are we.
• If you’re excited by meaningful challenges, collaborative teammates, and the opportunity to help build a growing healthcare technology company, we’d love to hear from you.
• Equal Opportunity Employer
• Free Market Health is proud to be an Equal Opportunity Employer.
• We believe that a diverse and inclusive workplace makes us better teammates and problem solvers and we encourage all qualified individuals to apply. Employment decisions are based on business needs, qualifications, and merit.
• FMH is also committed to providing reasonable accommodations throughout the hiring process. If you require assistance or accommodation due to a disability, we will work with you to meet your needs.

Why FMH
Every day, someone receives a life-changing diagnosis. Getting the right medication should be straightforward - but too often it isn’t.
Specialty medications move through a complex network of providers, health plans, pharmacies, and manufacturers. Administrative delays, disconnected systems, and limited visibility can slow treatment when time matters most.
Free Market Health exists to make that process work better.
Our technology connects stakeholders across the specialty pharmacy ecosystem, helping prescriptions reach the right pharmacy while improving visibility, reducing friction, and keeping treatment moving forward for the patients who depend on them. We focus on the most important stakeholder of all: the patient.